| Expanding Circles, Inc | |
|
1000 County Road E W Ste 142 Shoreview MN 55126-8027 | |
| (612) 254-5963 | |
| Not Available |
| Full Name | Expanding Circles, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1000 County Road E W Ste 142, Shoreview, Minnesota |
| Authorized Official Name and Position | Miriam Cornell (OWNER) |
| Authorized Official Contact | 6122545963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expanding Circles, Inc 3790 Van Dyke St White Bear Lake MN 55110-4740 Ph: (612) 254-5963 | Expanding Circles, Inc 1000 County Road E W Ste 142 Shoreview MN 55126-8027 Ph: (612) 254-5963 |
| NPI Number | 1598436198 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598436198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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